Which risk factor should a nurse monitor in a postpartum client with a history of thromboembolism?

In postpartum clients with a history of thromboembolism, monitoring for prolonged immobility is critical. This population is at a higher risk for developing venous thromboembolism due to factors such as hormonal changes, increased blood volume, and the physical demands of recovery and caring for a newborn.

Prolonged immobility can lead to blood stasis in the lower extremities, which significantly increases the risk of clot formation. Maintaining movement and encouraging ambulation are essential interventions to minimize this risk. Nurses should assess the client's mobility and encourage regular movement or the use of compression stockings if indicated.

Adequate hydration and regular exercise are important for overall postpartum recovery and can aid in circulation; however, without addressing the risk of immobility specifically, these measures are not sufficient to mitigate the heightened thromboembolic risk associated with inactivity. Increased fluid intake can also partially help, but it doesn't address the mechanical aspects of preventing thrombus formation directly related to immobility.